About Gina
Dr. Gina Scarano-Osika is a New York psychologist with 25 years of practice experience. She brings a calm, direct manner and practical problem-solving to sessions.
People meet her as someone who listens closely and helps them find manageable steps forward. She combines cognitive behavioral ideas with dialectical behavior tools and attachment-informed thinking. That mix guides conversations about daily struggles, mood swings, anxiety, and focus issues like ADHD.
Sessions concentrate on skills people can use between meetings, and on understanding patterns that keep problems repeating.
Background and approach
Early in her career she completed relational training at Strong Memorial Hospital in Rochester. She and her husband opened a independent practice two decades ago and helped it grow into a larger group of providers. That background gives her experience with varied concerns and practical clinic workflows.
People commonly bring stress, depression, grief, sleep problems, relationship or intimacy concerns, parenting strain, and addictive patterns. She also supports clients facing trauma, body image issues, career transitions, and attachment challenges. Her work addresses both immediate coping and longer-term behavior change.
Her license is NY Psychologist 012289 and she practices from New York. Sessions are offered in English, and she accepts international clients through online formats. She recognizes that asking for help is not easy and aims to make first steps straightforward and clear.
How her approaches translate to online work
Attachment-Based Therapy pays attention to how early relationships shape current patterns. Online sessions use conversation and exercises to notice recurring interaction styles and to practice different ways of connecting. Cognitive Behavioral Therapy (CBT) focuses on how thoughts, feelings, and actions interact; sessions often include short take-home exercises to try new behaviors and track progress. Dialectical Behavior Therapy (DBT) adds practical skills for tolerating strong emotions and improving interpersonal effectiveness, which can be taught and rehearsed in video or messaging formats.Choosing the best approach is a shared process. The therapist will talk with each person about their goals, symptoms, and daily life, then recommend a mix of methods that fit those needs. That plan can change over time based on what helps most, and the client takes an active role in shaping it.
Online therapy offers flexible ways to connect. Video calls work well for deeper conversations and skill practice, phone sessions can be a good shorter option when bandwidth or movement is a concern, and live chat or text-based messaging suit quick check-ins or ongoing coaching between sessions. These formats make it easier to fit therapy into busy schedules and to continue work from different locations.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Grief
- Guilt and shame
- Hearing impaired
- Hoarding
- Impulsivity
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexual dysfunction
- Sleeping disorders
- Social anxiety and phobia
- Somatization
- Trauma and abuse
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 25 years
- Licensed
- New York
- Languages
- English
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